Journal of Clinical Imaging Science最新文献

{"title":"Beyond the numbers: How Journal of Clinical Imaging Science is shaping the future of radiology publishing.","authors":"Vikram Dogra","doi":"10.25259/JCIS_148_2025","DOIUrl":"10.25259/JCIS_148_2025","url":null,"abstract":"","PeriodicalId":15512,"journal":{"name":"Journal of Clinical Imaging Science","volume":"15 ","pages":"27"},"PeriodicalIF":1.3,"publicationDate":"2025-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12361649/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144956117","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Thrombosed saphenous vein graft aneurysm mimicking left atrial appendage mass: A rare complication of coronary artery bypass graft.","authors":"Hunaina Shahab, Jad Kassem, Ali Yildiz, Adam H Jacobi","doi":"10.25259/JCIS_45_2025","DOIUrl":"10.25259/JCIS_45_2025","url":null,"abstract":"<p><p>Saphenous vein graft aneurysm (SVGA) is a rare but potentially life-threatening complication of coronary artery bypass grafting (CABG). Its incidence is likely underreported due to asymptomatic cases and undiagnosed acute events. While SVGAs are more commonly associated with right atrial compression, presentation as a left atrial mass is rare. We present the case of an 85-year-old man with a history of CABG, who was incidentally found to have a left atrial appendage (LAA) density on a computed tomography (CT) chest, abdomen, and pelvis performed for unrelated symptoms of back pain and constipation. The density was initially suspected to be an LAA thrombus. However, a dedicated cardiac CT with delayed-phase imaging revealed a largely thrombosed aneurysmal saphenous vein graft to the obtuse marginal artery, which indented the LAA, mimicking an intracardiac mass. This case underscores the critical role of multimodality imaging, particularly cardiac CT, in differentiating vascular aneurysms from true intracardiac masses. Given the patient's asymptomatic status, conservative management with close follow-up was pursued. This case adds to the limited literature on SVGAs mimicking left atrial pathology and highlights the importance of recognizing this rare entity to avoid unnecessary interventions. It also emphasizes the evolving role of cardiac CT as a noninvasive, high-yield diagnostic tool for complex post-CABG anatomical assessments.</p>","PeriodicalId":15512,"journal":{"name":"Journal of Clinical Imaging Science","volume":"15 ","pages":"26"},"PeriodicalIF":1.3,"publicationDate":"2025-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12361656/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144956096","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A multireader, multicase study comparing ultra-high-resolution and conventional-resolution computed tomography for lung nodule characterization.","authors":"Andrew M Hernandez, Anthony F Chen, Fatma Sen, Ana S Mitchell, Sarah E McKenney, Lorenzo Nardo, Craig K Abbey, Mohammad H Madani","doi":"10.25259/JCIS_17_2025","DOIUrl":"10.25259/JCIS_17_2025","url":null,"abstract":"<p><strong>Objectives: </strong>The objective of the study was to evaluate the efficacy of ultra-high-resolution computed tomography (UHRCT) in comparison to conventional resolution computed tomography (CT) for the characterization of lung nodules.</p><p><strong>Material and methods: </strong>104 non-contrast chest UHRCT scans (mean age of 66 years, 57 females) with pulmonary nodules were retrospectively collected (February-November 2022), and corresponding normal-resolution (NR) reconstructions were synthesized using a validated algorithm. Five blinded radiologists scored the following for each localized nodule in the ultra-high-resolution (UHR) and NR datasets: Margin clarity (5-point Likert scale), image quality \"IQ\" (3-point), density confidence (0-100%), and size (long/short axes). Image noise (voxel standard deviation) was calculated within the trachea. Differences between UHR and NR were tested using the Wilcoxon signed-rank test. Intrareader agreement was quantified with intraclass correlation coefficient (ICC), and ordinal association between margin clarity and IQ was quantified with Kendall's <i>τ</i> coefficient.</p><p><strong>Results: </strong>Margin clarity, IQ, and density confidence were significantly higher for UHR (<i>P</i> < 0.001). No significant differences between UHR and NR were observed in the variability (standard deviation across readers) for measuring long and short axes (<i>P</i> > 0.100). Intrareader agreement for UHR and NR was poor for margin clarity, IQ, and density confidences (ICC < 0.250) but moderate for short axes (ICC = 0.731) and good for long axes (ICC = 0.807). Ordinal association between margin clarity and IQ was moderate for UHR (<i>τ</i> = 0.566) and good for IQ (<i>τ</i> = 0.637). Image noise was significantly higher (<i>P</i> < 0.001) for UHR compared to NR.</p><p><strong>Conclusion: </strong>UHRCT offers significant improvements in the visualization of lung nodules compared to conventional resolution CT, albeit with an increase in image noise.</p>","PeriodicalId":15512,"journal":{"name":"Journal of Clinical Imaging Science","volume":"15 ","pages":"25"},"PeriodicalIF":1.3,"publicationDate":"2025-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12361665/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144956085","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Imaging findings of post-chemotherapy non-metastatic hepatic parenchymal changes.","authors":"San Yu Leung, Wing Tung Chiu, Matthew Ka Ki Law, Ho Ching Amy Wong, Alta Lai, Yiu Shiobhon Luk","doi":"10.25259/JCIS_165_2024","DOIUrl":"10.25259/JCIS_165_2024","url":null,"abstract":"<p><p>The use of chemotherapy has revolutionized the management of cancer in the past decades. Liver toxicity is commonly observed among different types of chemotherapy drugs. The aim of this pictorial review is to illustrate radiological features of various chemotherapy-associated hepatic parenchymal changes in different imaging modalities and to demonstrate potential complications of these liver injury patterns with representative cases. Early recognition of these liver conditions allows prompt clinical action to be taken, thus optimizing management and avoiding severe complications.</p>","PeriodicalId":15512,"journal":{"name":"Journal of Clinical Imaging Science","volume":"15 ","pages":"24"},"PeriodicalIF":1.3,"publicationDate":"2025-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12361689/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144956164","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cardiac magnetic resonance imaging in Fabry disease.","authors":"Hatty Hoi Ting Chau, Wai Yuk Fung, Johnny Ka Fai Ma, Heather Hoi Ching Lee, Yongmei Leng, Rois L S Chan, Kingshing Ngai","doi":"10.25259/JCIS_155_2024","DOIUrl":"10.25259/JCIS_155_2024","url":null,"abstract":"<p><p>Fabry disease (FD) is a rare X-linked lysosomal storage disorder. Cardiac involvement is frequent in the classic phenotype and late-onset cardiac variant of FD. It is challenging to distinguish FD cardiomyopathy from other forms of unexplained left ventricular hypertrophy, especially in those patients without extracardiac manifestations. Cardiac magnetic resonance imaging is an essential imaging modality for the quantitative and qualitative assessment of FD cardiomyopathy. It helps to monitor disease progress and allows early disease detection in the mild form or subclinical cardiac phenotypes. This review illustrates the characteristic imaging features of FD cardiomyopathy in cardiac MRI, aiming to enhance the awareness of this disease entity among the scope of unexplained cardiomyopathy and promote timely enzyme replacement therapy for patients.</p>","PeriodicalId":15512,"journal":{"name":"Journal of Clinical Imaging Science","volume":"15 ","pages":"23"},"PeriodicalIF":1.3,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12289101/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144707653","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Partially calcified giant hemorrhagic syringomyelia and hematomyelia.","authors":"Adnan Duriqi, Kreshnike Dedushi Hoti, Kaltrina Gocaj, Fjolla Hyseni","doi":"10.25259/JCIS_138_2024","DOIUrl":"10.25259/JCIS_138_2024","url":null,"abstract":"<p><p>Syringomyelia is a rare condition characterized by the formation of a fluid-filled cyst within the spinal cord, leading to myelopathy. In addition, the pathological enlargement of the central canal is referred to as hydromyelia or cleft-like syrinx. We present a case of idiopathic syringomyelia and hematomyelia in a 50-year-old female patient with a 5-year follow-up on her disease progression. Magnetic resonance imaging (MRI) images revealed low-signal intensity on T1 and high-signal intensity on T2, with elevated hemorrhagic signal intensity on T1 and low peripheral signal intensity on T2. A fluid-filled lesion measuring 12 × 36 mm was observed between the C7 and Th3 vertebrae, with separation from some of the detailed components. No contrast enhancement was noted following IV contrast administration. Based on the MRI findings, a diagnosis consistent with giant hemorrhagic syringomyelia was established. Subsequently, a neurosurgical intervention was performed, resulting in a reduction in the size of the syringomyelia and a moderate improvement in the patient's symptom profile.</p>","PeriodicalId":15512,"journal":{"name":"Journal of Clinical Imaging Science","volume":"15 ","pages":"22"},"PeriodicalIF":1.3,"publicationDate":"2025-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12289104/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144707654","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pulmonary Langerhans cell histiocytosis: A case series and literature review.","authors":"Roberto G Carbone, Anja C Roden, Christopher C Huntley, Francesco Puppo","doi":"10.25259/JCIS_42_2025","DOIUrl":"10.25259/JCIS_42_2025","url":null,"abstract":"<p><p>Pulmonary Langerhans cell histiocytosis (PLCH) is a rare diffuse parenchymal lung disease representing 3% of all interstitial lung diseases. PLCH occurs either as part of multi-system Langerhans cell histiocytosis (LCH) or an isolated disease of the lung. Isolated involvement of lungs is observed in approximately 50-70% of LCH cases and the age of onset peaks between 20 and 40 years without gender difference. Cigarette smoking is the only identified environmental risk factor. PLCH is characterized by Langerhans cell infiltrates that in general are in a bronchiolocentric distribution. Pulmonary lesions can occur after chronic systemic disease or are an initial sign of disease. The aims of this study are to (1) report five rare cases of PLCH in adults; (2) discuss the relationship of PLCH with interstitial lung fibrosis; (3) provide a concise review of PLCH epidemiology, pathophysiology, diagnosis, treatment, and prognosis to improve the knowledge of PLCH by pneumologists and internal medicine physicians.</p>","PeriodicalId":15512,"journal":{"name":"Journal of Clinical Imaging Science","volume":"15 ","pages":"21"},"PeriodicalIF":1.3,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12289103/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144707655","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Blunt traumatic inferior vena cava injury associated with seatbelt syndrome: The critical role of diagnosis and non-operative management.","authors":"Emika Murasawa, Komei Kameyama, Hajime Nakae, Naoko Mori","doi":"10.25259/JCIS_39_2025","DOIUrl":"10.25259/JCIS_39_2025","url":null,"abstract":"<p><p>Blunt traumatic inferior vena cava (IVC) injury is rare and presents diagnostic and therapeutic challenges. We report a case of blunt traumatic IVC injury associated with bowel perforation and spinal cord injury, successfully managed with non-operative conservative treatment. A 57-year-old woman sustained injuries in a motor vehicle collision with a seatbelt fastened. Computed tomography (CT) revealed an irregular IVC contour at the infrarenal level and a retroperitoneal hematoma, leading to the diagnosis of blunt traumatic IVC injury. Free intraperitoneal air suggested bowel perforation, and magnetic resonance imaging confirmed a C5/6 spinal cord injury. This combination of injuries may raise suspicion for a seatbelt injury pattern. The bowel perforation was surgically treated, and posterior fixation was performed for the spinal injury. Since the patient remained hemodynamically stable, conservative management was selected for the IVC injury. Follow-up CT revealed a reduction in the retroperitoneal hematoma and improvement in the IVC contour, indicating successful conservative treatment. Blunt traumatic IVC injury is rare, and some cases do not exhibit contrast media extravasation. In this case, the diagnosis was based on IVC contour abnormalities and retroperitoneal hematoma. Considering the patient's stable hemodynamics, conservative treatment was selected. Careful interpretation of CT findings is essential for diagnosing IVC injury, and appropriate clinical judgment is key to achieving successful non-operative management in selected cases.</p>","PeriodicalId":15512,"journal":{"name":"Journal of Clinical Imaging Science","volume":"15 ","pages":"20"},"PeriodicalIF":1.3,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12289102/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144707652","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Percutaneous n-butyl cyanoacrylate glue embolization combined with arterial embolization for extracranial arteriovenous malformations.","authors":"Yang-Chao Tong, Yang Zhao, Hai-Peng He, Ren Lin, Jun-Bing Lv, Yi-Bo Zhang, Hui-Ning Chen, Heng-Hui Yin, Jie-Sheng Qian","doi":"10.25259/JCIS_33_2025","DOIUrl":"10.25259/JCIS_33_2025","url":null,"abstract":"<p><strong>Objectives: </strong>Congenital arteriovenous malformations (AVMs) are characterized by abnormal connections between arteries and veins, often presenting challenges in treatment due to their complex vascular structure. Endovascular therapies, including embolization techniques, have become integral in managing AVMs, yet optimal treatment strategies remain under investigation. This retrospective study aimed to evaluate the safety and efficacy of percutaneous glue embolization of n-butyl cyanoacrylate (nBCA) combined with arterial embolization in treating extracranial AVMs.</p><p><strong>Material and methods: </strong>This retrospective study included 11 patients with extracranial AVMs who underwent percutaneous injection of nBCA glue embolization combined with arterial embolization at our institution between May 2015 and October 2023. Angiographic classification was performed using the Cho-Do vascular imaging system and the Schobinger classification system to categorize the AVMs. Treatment efficacy was assessed based on the percentage of vessel occlusion observed in angiography or imaging studies. The occurrence of major and minor complications was also evaluated.</p><p><strong>Results: </strong>Eleven patients received 16 treatments, involving a combination of arterial and percutaneous embolization techniques. Five cases achieved complete recovery, while four cases showed significant improvement, resulting in an overall treatment success rate of 81.8%. Favorable outcomes were observed in terms of symptom alleviation and lesion occlusion. Adverse events were minimal, with transient pain and edema being the most common postoperative complaints. Only one case of mild post-operative complication occurred.</p><p><strong>Conclusion: </strong>Percutaneous glue embolization combined with arterial embolization proves to be a safe and effective treatment modality for extracranial AVMs, with acceptable rates of complications and favorable treatment outcomes.</p>","PeriodicalId":15512,"journal":{"name":"Journal of Clinical Imaging Science","volume":"15 ","pages":"19"},"PeriodicalIF":1.1,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12134823/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144225627","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Gastroepiploic artery embolization for splenic trauma in a liver transplant recipient.","authors":"Rooshi Parikh, Steven Brian Epstein","doi":"10.25259/JCIS_3_2025","DOIUrl":"10.25259/JCIS_3_2025","url":null,"abstract":"<p><p>The spleen is a highly vascular organ susceptible to injury in blunt abdominal trauma, often leading to massive blood loss. Splenic artery embolization (SAE) has been shown to be a safe and effective nonoperative approach in cases of hemodynamically stable patients with blunt splenic trauma. SAE can be performed proximally or distally, with both approaches demonstrating similar clinical efficacy. This case report describes emergent splenic embolization for acute abdominal trauma in a liver transplant recipient. However, due to the presence of prior splenic artery ligation, a uniquely alternative route through the gastroepiploic artery was used to gain access to the spleen for embolization.</p>","PeriodicalId":15512,"journal":{"name":"Journal of Clinical Imaging Science","volume":"15 ","pages":"18"},"PeriodicalIF":1.1,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12134820/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144225625","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}